Distress

Young people increasingly turn to General-Purpose Conversational Agents (GPCAs), such as ChatGPT, in moments of distress. We examine young adults' (ages 18-25) experiences using ChatGPT. We first collected 19,930 ChatGPT conversations and survey data from 158 young adults. We then selected five example conversations reflecting user distress. Finally, we asked ten clinicians to review those five conversations. We found distressed participants reported greater emotional engagement with ChatGPT and greater behavioral change from using it than their peers. When they turned to ChatGPT in moments of acute distress, ChatGPT was quick to give overly dramatic responses and excessive action-oriented suggestions. Clinicians endorsed ChatGPT's availability and much of its wording, but identified seven process failures, such as prematurely jumping to solutions. We translated clinicians' feedback into design guidelines following three stages: 1) asking about safety, 2) de-escalating intensity to restore emotional regulation, and 3) exploring concerns without agreeing with them.

Body-cue recognition can support assistive robots, but benchmark accuracy does not guarantee reliable behavior under a robot-camera viewpoint. We present Nuni, a bedside robot prototype that treats a detected distress cue as a reason to ask rather than a reason to alert. We compare two X3D-UGT RGB appearance classifiers, which reach 97.7% and 94.8% six-way accuracy on NTU RGB+D, with a pose-centric hybrid pipeline on 28 single-actor scripted clips recorded from the robot camera. The hybrid path achieved 0.71 six-way macro recall, versus 0.25 and 0.29 for the fine-tuned and from-scratch RGB variants. More importantly for interaction, it produced a question-triggering distress cue in 12/16 distress clips and would have prompted unnecessarily in 2/8 normal clips; the RGB variants yielded a question-triggering cue in only 2/16 and 3/16 distress clips. We separately tested the question-first controller through event injection. All 13 state-transition trials passed: valid responses caused stand-down, two unanswered prompts produced one alert, and three boundary conditions were handled correctly. These results are a preliminary technical evaluation, not a user study or medical validation, but they show how interaction policy can limit the consequences of uncertain perception.

Burnout is a chronic occupational syndrome, and open source is close to a worst case for it: maintainers absorb unbounded demand with no manager to reallocate work and no organization to notice decline. The cost is not only personal. Burnout precedes withdrawal, and in projects sustained by a handful of maintainers, one departure can break infrastructure that thousands of downstream systems depend on. Yet the field has no way to see it coming: self-report inventories, the only existing measure, miss exactly the contributors most in need of detection and cannot be applied retroactively, so the field cannot even ask how common burnout is or what helps. We present BurnRiSc, a framework that operationalizes the Oldenburg Burnout Inventory's two dimensions, exhaustion and disengagement, as 14 behavioral and linguistic signals computed from GitHub activity and scored against each contributor's own history. The signals aggregate into two weighted dimension scores, with weights learned from labeled cases, and average into a monthly Burnout Risk Score (BRS). In a preliminary evaluation across 68 contributors in ten repositories (ten disclosed burnout cases, twelve comparable-volume collapses, and 46 comparison contributors), sustained BRS elevation precedes 6 of 10 disclosures by 6-15 months, 8 of 10 when adding peak BRS as a second criterion, and 10 of 10 over any prior time frame. We thus present BurnRiSc as evidence that burnout is screenable from public data.

We investigate an unobtrusive and $24\times7$ human distress detection and signaling system, Always Alert, that requires the smartphone, and not its human owner, to be on alert. The system leverages the microphone sensor, at least one of which is available on every phone, and assumes the availability of a data network. We propose a novel two-stage supervised learning framework, using support vector machines (SVMs), that executes on a user's smartphone and monitors natural vocal expressions of fear---screaming and crying in our study---when a human being is in harm's way. The challenge is to achieve a high distress detection rate while ensuring that the false alarm rate is a manageable overhead, while a typical smartphone user goes about living life as usual. We train the learning framework with carefully selected audio fingerprints of distress and of varied environmental contexts. The audio is used to tune the learning framework to obtain a desirable distress detection rate and false alarm rate (FAR). The ability of the proposed framework to detect distress in rather challenging audio environments is demonstrated. Exploiting the time contiguous nature of false alarms further allows us to reduce the FAR. We show the feasibility of using our framework anytime and anywhere by testing it over many hours of audio fingerprints recorded by volunteers on their smartphones, as they went about their daily routines. We are able to achieve high distress detection rates at an average overhead that is equivalent to about 1 facebook post every 3 to 4 hours.

Legged robots are increasingly deployed in forests for ecological surveying and monitoring, yet their autonomy is often interrupted consequent to the challenges posed in traversing forest environments. Forest entrapments, for example, when a robot's legs are ensnared in vines or other vegetation, result in loss of stability and toppling. Such events not only disrupt the mission and require manual intervention, but also risk damage to the robot hardware. To address the absence of a dedicated dataset to investigate these failure modes in forest environments, we present ForEnt, a multi-modal dataset collected with the low-cost Unitree Go2 quadruped across eight forest sites in the Southampton Common Woodlands, UK. For our dataset, over approximately 1.7 km of traversals in 11 sequences were conducted, yielding 69 recorded entrapment events. ForEnt includes time-synchronized RGB-D images, LiDAR scans, proprioceptive data, and third-person video, enabling analysis of terrain factors contributing to entrapment and providing labeled sensor streams for reproducible benchmarking. By supporting the evaluation of entrapment detection strategies, ForEnt lowers the barrier to developing robust quadruped robot deployments in challenging forest environments.

LLM chatbots increasingly serve as a first source of support for people in psychological distress, including those whose distress is entangled with delusional beliefs. Prior work on LLM mental-health safety largely evaluates general therapeutic quality or single-turn crisis detection, leaving unclear how models behave when distress is intertwined with delusion over sustained conversations. We address this gap with matched multi-turn simulations, across clinically grounded personas and six LLMs, that pair each delusional conversation with a distress-only control to isolate the effect of delusional framing. This reveals a recognition-intervention gap: models detect distress at comparable rates regardless of framing, yet sharply fail to act on it once distress is embedded in delusion, with safety interventions suppressed by up to 4.5x. The failure tracks accumulated acceptance of the user's premises rather than emotional validation. Worse, the intuitive fix of prompting models to assess user distress backfires under delusional framing; only delusion-aware prompting with explicit response guidance closes the gap, and even this depends on a delusion classifier that is itself unreliable on the most vulnerable models. Safe deployment therefore requires treating delusional framing as a distinct risk signal that overrides conversational accommodation.

Crisis Responders (CRs) rapidly assess thousands of youth SMS conversations each year to identify mental health concerns and guide support. Yet youth distress is increasingly expressed through evolving and context-specific language that often does not fit fixed-label taxonomies. This work analyzed 703,975 de-identified Kids Help Phone conversations (2018-2023) and expanded KHP's 19-label issue taxonomy into a 39-label hierarchical schema. We then introduce Keyphrase Generative Representation (KGR), a constrained LLM generating concise, conversation-specific keyphrases, evaluated across 129 conversations and 387 expert annotations. The expanded taxonomy achieved expert consensus reliability, with an accuracy of 0.96, and expert review found that 81% of keyphrases accurately reflected content and 74% improved clarity. KGR surfaced identity-linked themes absent from the fixed taxonomy, including immigration problems and caregiver burden, and supported a topic-retrieval workflow that increased accuracy from 0.25 to 0.70 (+0.45) over the manual analyst process. KGR marks a shift toward hybrid, interpretable generative representations that extend crisis response beyond static taxonomies to surface emerging and culturally grounded patterns of youth distress.

Recent advances in artificial intelligence (AI) and social media data have led to growing optimism about the ability to detect suicide risk at scale. However, the empirical foundations of this work remain unclear. This article provides a synthesis of current research on AI-based suicide detection in social media, drawing on a recent umbrella review of 22 systematic reviews covering studies up to 2022, alongside an ongoing literature review extending the analysis to more recent work. Across these sources, we identified 195 relevant studies, which are documented in a detailed supplementary dataset outlining their key characteristics and findings (see Supplementary Information). Analysis of these studies reveals consistent patterns, including rapid growth, concentration on a small number of platforms, reliance on textual and English-language data, and repeated use of similar datasets. Most importantly, the majority of studies rely on indirect labeling strategies that do not involve direct, individual-level validation of suicide risk. Instead, ground truth is typically inferred from observable features of online content, such as linguistic markers or community membership. As a result, the predictive task often shifts from identifying individuals at risk to classifying posts that contain suicidal or distress-related language, limiting the ability of current approaches to detect individuals who do not express such content explicitly online. These findings suggest that current advances in model performance should be interpreted with caution. Progress in this field is likely to depend less on improving model performance and more on ensuring that model predictions meaningfully correspond to suicide risk as it is experienced in real life.

Sentiment analysis has been of long-standing interest in psychotherapy research. Recently, the Transformer deep learning architecture has produced text-based sentiment analysis models that are highly accurate and context-aware. These models have been explored as proxies for emotion measurement instruments in psychotherapy, but not investigated as stand-alone psychometric tools. Using proposed utterance-level and session-level sentiment features derived from a fine-grained sentiment model on a large corpus of psychotherapy sessions (N = 751), we investigate the distribution of session aggregated sentiment scores. Further, we characterize the relationship of these features to individual components and the overall score of the OQ-45 instrument and find that this sentiment feature is most strongly correlated to components related to emotional valence in directionally intuitive ways. Finally, we report that there are statistically significant differences between the sentiment distributions for patients flagged as at risk of deterioration or dropping out of care via either the OQ Rational or Empirical outcome models. These correlations to a fully-validated psychometric instrument demonstrate that these proposed sentiment features are, at least, adjunctive measures of client distress and deterioration.

Romantic breakups are among the most common and intense sources of psychological distress. We evaluated overit, a single-session AI chatbot that uses cognitive reappraisal to address breakup distress, informed by memory reconsolidation theory. In a pre-registered randomized controlled trial, 254 adults in the United States and United Kingdom who had experienced a romantic breakup were assigned to either an initial survey assessment followed by an AI chat session or to a survey-only control. Breakup distress was measured at baseline, 7 days, and again at an exploratory 1-month follow-up using the Breakup Distress Scale. Participants assigned to overit showed a significantly greater reduction in breakup distress than controls at 7 days (time-by-condition interaction B = -5.36, SE = 1.19, p < .001; completer-based d = -0.70). A smaller but still significant treatment advantage remained detectable at the exploratory 1-month follow-up among post-session completers (B = -2.92, SE = 1.22, p = .017). Exploratory post hoc moderation suggested a larger effect among male participants (B = 7.78, p = .003). These results suggest that a brief AI chatbot conversation can meaningfully reduce breakup distress, with exploratory evidence that a smaller advantage persists over the following month. Future work should test the intervention against active controls, evaluate repeated-session use, and recruit more diverse samples.

The deterioration of pavement is a complex and dynamic process determined by different factors including material, environment, design, and some other unobserved variables. Accurate predictions of pavement condition can help maximize the use of available resources for pavement management agencies through better coordinated preservation and maintenance activities. This paper uses deep neural networks such as the convolutional neural network (CNN) and the long short-term memory (LSTM) to model the pavement deterioration process. In this paper, pavement condition data and maintenance and rehabilitation history collected by the Texas Department of Transportation over the past 18 years were used. Twenty-one flexible pavement condition indicators, including cracking, rutting, raveling, and roughness, collected from more than 100,000 pavement sections were included in the proposed models. Promising preliminary results were obtained. Case study results show that the proposed CNN model outperforms standard machine learning models in predicting pavement condition values.

Physical activity (PA) is widely recognized as protective against mental distress, yet whether this benefit varies systematically across population subgroups remains poorly understood. Using pooled data from ten consecutive annual waves of the U.S. Behavioral Risk Factor Surveillance System (2015-2024; n = 3,242,218), we investigate heterogeneity in the association between leisure-time PA and frequent mental distress (FMD, >=14 days/month) across age groups. Survey-weighted logistic regression reveals a striking age gradient: the adjusted odds ratio for PA ranges from 0.89 among young adults (18-24) to 0.50 among adults aged 55-64, with the protective association strengthening monotonically with age. Temporal analysis across all ten years shows that the young-adult PA effect has been eroding over the past decade, with the 18-24 OR reaching 1.01 (null) in both 2018 and 2024 -- paralleling the deepening youth mental health crisis. Causal Forest via Double Machine Learning independently identifies age as the dominant driver of treatment effect heterogeneity (feature importance = 0.39, 2.5x the next predictor). E-value sensitivity analysis, propensity score overlap checks, placebo tests, and imputation comparisons confirm the robustness of the findings. These results suggest that the well-documented exercise--mental health link may not generalize to the youngest adult population, whose distress appears increasingly driven by stressors that PA alone cannot mitigate.

Automated analysis of customer feedback on social media is hindered by three challenges: the high cost of annotated training data, the scarcity of evaluation sets, especially in multilingual settings, and privacy concerns that prevent data sharing and reproducibility. We address these issues by developing a generalizable synthetic data generation pipeline applied to a case study on customer distress detection in French public transportation. Our approach utilizes backtranslation with fine-tuned models to generate 1.7 million synthetic tweets from a small seed corpus, complemented by synthetic reasoning traces. We train 600M-parameter reasoners with English and French reasoning that achieve 77-79% accuracy on human-annotated evaluation data, matching or exceeding SOTA proprietary LLMs and specialized encoders. Beyond reducing annotation costs, our pipeline preserves privacy by eliminating the exposure of sensitive user data. Our methodology can be adopted for other use cases and languages.

Banks receive millions of reports of fraud, scams, and disputed transactions every year, making it challenging to accurately direct customers to the appropriate specialist teams for assistance. The existing manual process driven by humans is slow and stressful for both customers and staff. To address this, we develop a customer-facing AI powered triaging agent that leverages large language models (LLMs) to conduct multi-turn conversations, ask relevant questions, and classify cases for accurate, policy-guided routing, making it embedded in the customer journey. To evaluate and continuously improve the agent, synthetic digital twins of real customers were simulated, generating realistic, labelled dialogues based on historical data to test a wide range of real-world scenarios. This work details the triage agent's modelling approach, integration with policy, safety guardrails and reasoning frameworks, the use of the synthetic agent for scalable evaluation, and findings on the AI system's accuracy, robustness, and compliance. Results show that the agent successfully improves triaging of historical cases, achieving a 30.6% increase in classification accuracy, with high satisfaction levels reported by our subject-matter experts, highlighting how targeted probing can lead to more effective triage in banking operations at scale.

Maritime distress communications transmitted over very high frequency (VHF) radio are safety-critical voice messages used to report emergencies at sea. Under the Global Maritime Distress and Safety System (GMDSS), such messages follow standardized procedures and are expected to convey essential details, including vessel identity, position, nature of the distress, and required assistance. In practice, however, automatic analysis remains difficult because distress messages are often brief, noisy, and produced under stress, may deviate from the prescribed format, and are further degraded by automatic speech recognition (ASR) errors caused by channel noise and speaker stress. This paper presents SeaAlert, a controlled experimental framework for evaluating robust analysis of maritime distress communications using transformer-based severity classification and LLM-based structured extraction. To address the scarcity of labeled real-world data, we develop a synthetic data generation pipeline in which an LLM produces diverse maritime messages, including challenging variants in which standard distress codewords are omitted or replaced with less explicit expressions. The generated utterances are synthesized into speech, degraded with simulated VHF noise, and transcribed by an ASR system to obtain controlled noise-degraded transcripts. The resulting evaluation shows that transformer-based classification degrades more gracefully than lexical baselines under ASR noise and codeword masking, while LLM-based extraction is more effective than Regex-based extraction for noisy structured fields.